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作者

Yin, Q.-Y. Ma, Z.-S. Feng, F.-Y. Wang, L.-X.

作者单位

School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, NSW, Australia School of Biomedical Sciences, Charles Sturt University, Wagga Wagga, NSW 2678, Australia a Department of Cardiac Surgery, Liaocheng People's Hospital, Liaocheng Clinical School of Taishan Medical University, Liaocheng, Shandong Province, 252000, China

刊名

Journal of Cardiovascular Nursing

年份

2012

卷号

Vol.27 No.6

页码

547-552

ISSN

0889-4655

关键词

anxiety congenital heart disease counseling depression thoracoscopy

摘要

BACKGROUND: Thoracoscopic closure of atrial or ventricular septal defect is a new surgical method. The postoperative mental health status of patients treated with this novel approach is presently unknown. OBJECTIVE: The aims of this study were to compare psychological symptoms between patients treated with thoracoscopy and those treated with conventional open heart surgery and to evaluate the effect of perioperative counseling on postoperative psychological symptoms. METHODS: In this prospective...更多

BACKGROUND: Thoracoscopic closure of atrial or ventricular septal defect is a new surgical method. The postoperative mental health status of patients treated with this novel approach is presently unknown. OBJECTIVE: The aims of this study were to compare psychological symptoms between patients treated with thoracoscopy and those treated with conventional open heart surgery and to evaluate the effect of perioperative counseling on postoperative psychological symptoms. METHODS: In this prospective study, 120 patients were divided into thoracoscopic and conventional open heart surgery groups. All patients received standard preoperative and postoperative nursing care. The thoracoscopic group was randomized into study and control groups. The thoracoscopic study group received daily counseling 2 days before and within the first 4 days after the surgery. Psychological symptoms were assessed by Symptom Checklist-90 on day 5 after the surgery. RESULTS: There was no statistically significant difference in baseline characteristics or Symptom Checklist-90 scores between the thoracoscopic and conventional surgery groups or between the thoracoscopic study and control groups . After surgery, the mean scores of somatization, anxiety, depression, and phobic ideation in the thoracoscopic control group were lower than in the conventional surgery group . The mean scores of anxiety, depression, and phobic ideation in the thoracoscopic study group were lower than in the thoracoscopic control group . CONCLUSIONS: Thoracoscopic closure of congenital heart defects is associated with less postoperative anxiety or depression symptoms compared with conventional open heart surgery. Perioperative counseling in patients undergoing thoracoscopic closure reduces postoperative anxiety or depression symptoms and should be conducted in all patients before the surgery.收起

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